Provider Demographics
NPI:1164538237
Name:GOLDING, JOSEPH EDWARD JR (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:EDWARD
Last Name:GOLDING
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:E
Other - Last Name:GOLDING
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3240 MIDDLE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-4426
Mailing Address - Country:US
Mailing Address - Phone:812-376-8610
Mailing Address - Fax:812-376-7743
Practice Address - Street 1:3240 MIDDLE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-4426
Practice Address - Country:US
Practice Address - Phone:812-376-8610
Practice Address - Fax:812-376-7743
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009758122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist